๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #14

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ์ด ์ผ€์ด์Šค ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ ๋กœ๊ทธ์ธ
์ธ๊ตฌ ํ†ต๊ณ„ํ•™: Female
์ง€์‹œ์‚ฌํ•ญ: ์ƒˆ๋กœ์šด ์ฒด๊ฐ„ ๋ฐ ์–‘์ธก ํŒ” ์ €๋ฆผ, ์šฐ์ธก ํŒ” ๊ทผ๋ ฅ ์ €ํ•˜, ๊ธฐ์ € ์–‘์ธก ๋‹ค๋ฆฌ ๊ทผ๋ ฅ ์ €ํ•˜

์ฆ๋ก€ #14

๊ฒฐ๊ณผ

  • ์—ฐ์ˆ˜ ๋ฏธ๋ถ€์—์„œ C6-C7 ์ˆ˜์ค€๊นŒ์ง€ ์—ฐ์žฅ๋˜๋Š” ๊ด‘๋ฒ”์œ„ํ•œ T2/STIR ์‹ ํ˜ธ ๊ณผ๊ฐ•๋„, ๋‡Œ์ฒ™์ˆ˜์•ก๋ณด๋‹ค ๋†’์€ ๊ฐ•๋„์˜ ์˜์—ญ ํฌํ•จ, C7-T3์— ๊ฑธ์ณ ๋ฐ˜์ƒ T2/STIR ์‹ ํ˜ธ ๊ณผ๊ฐ•๋„ ์˜์—ญ ๋™๋ฐ˜
  • ๊ฒฝ๋„์˜ ๊ด€๋ จ ์ฒ™์ˆ˜ ํŒฝ๋Œ€
  • ๋ฐ˜์ƒ ๊ด€๋ จ ์กฐ์˜์ฆ๊ฐ• ์˜์—ญ
  • C5-C6์˜ ์ขŒํŽธ์‹ฌ ์ถ”๊ฐ„ํŒ-๊ณจ๊ทน ๋ณตํ•ฉ์ฒด์™€ ๊ตฌ์ถ” ๊ด€์ ˆ ๊ณจ๊ทน์ด ์ค‘๋“ฑ๋„ ์ขŒ์ธก ๋ฐ ๊ฒฝ๋„ ์šฐ์ธก ์‹ ๊ฒฝ๊ณต ํ˜‘์ฐฉ ๋ฐ ๊ฒฝ๋„ ์ฒ™์ถ”๊ด€ ํ˜‘์ฐฉ์— ๊ธฐ์—ฌํ•˜๋Š” ์ „๋ฐ˜์  ๊ฒฝ๋„ ๋‹ค๋ถ„์ ˆ ํ‡ดํ–‰์„ฑ ๋ณ€ํ™”์™€ ํ†ต์ƒ์  ๊ฒฝ์ถ” ์ „๋งŒ์˜ ์ง์„ ํ™”. C6-C7์˜ ์šฐํŽธ์‹ฌ ์ถ”๊ฐ„ํŒ-๊ณจ๊ทน ๋ณตํ•ฉ์ฒด์™€ ๊ตฌ์ถ” ๊ด€์ ˆ ๊ณจ๊ทน์ด ๊ฒฝ๋„ ์šฐ์ธก ์‹ ๊ฒฝ๊ณต ํ˜‘์ฐฉ์— ๊ธฐ์—ฌ

์ง„๋‹จ

์‹œ์‹ ๊ฒฝ์ฒ™์ˆ˜์—ผ(NMO)

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

์—ฐ์ˆ˜ ๋ฏธ๋ถ€์—์„œ C6-C7 ์ˆ˜์ค€๊นŒ์ง€ ์—ฐ์žฅ๋˜๊ณ  T3๊นŒ์ง€ ๋ฐ˜์ƒ T2/STIR ์‹ ํ˜ธ ๊ณผ๊ฐ•๋„๊ฐ€ ๋” ์•„๋ž˜๋กœ ์—ฐ์žฅ๋˜๋Š” ๊ด‘๋ฒ”์œ„ํ•œ T2/STIR ์‹ ํ˜ธ ๊ณผ๊ฐ•๋„. ๊ด€๋ จ ๊ฒฝ๋„ ์ฒ™์ˆ˜ ํŒฝ๋Œ€ ๋ฐ ๋ฐ˜์ƒ ์กฐ์˜์ฆ๊ฐ•. ์ด ์†Œ๊ฒฌ์€ ํƒˆ์ˆ˜์ดˆ(ํŠนํžˆ ์‹œ์‹ ๊ฒฝ์ฒ™์ˆ˜์—ผ ์ŠคํŽ™ํŠธ๋Ÿผ ์žฅ์• ) ๋˜๋Š” ๊ฐ์—ผ์„ฑ ๊ณผ์ •์— ๊ฐ€์žฅ ํ•ฉ๋‹นํ•ฉ๋‹ˆ๋‹ค. ์ข…์–‘์€ ์นจ๋ฒ” ๋ฒ”์œ„, ์กฐ์˜์ฆ๊ฐ• ํŒจํ„ด ๋ฐ ๋น„๊ต์  ๊ฒฝ๋„์˜ ๊ด€๋ จ ์ฒ™์ˆ˜ ํŒฝ๋Œ€๋ฅผ ๊ณ ๋ คํ•  ๋•Œ ๊ฐ€๋Šฅ์„ฑ์ด ๋‚ฎ์œผ๋‚˜, ์น˜๋ฃŒ์— ๋Œ€ํ•œ ๋ฐ˜์‘์„ ๋ชจ๋‹ˆํ„ฐ๋งํ•˜๊ธฐ ์œ„ํ•œ ์ถ”์  ์˜์ƒ์„ ๊ถŒ๊ณ ํ•ฉ๋‹ˆ๋‹ค.

ํ† ๋ก 

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ํ† ๋ก  ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ

์ฐธ๊ณ ๋ฌธํ—Œ

  • Dutra BG, da Rocha AJ, Nunes RH, Maia ACMJ. Neuromyelitis optica spectrum disorders: spectrum of MR imaging findings and their differential diagnosis. Radiographics 2018; 38(1): 169-193.
  • Lee MJ, Aronberg R, Manganaro MS, Ibrahim M, Parmar HA. Diagnostic approach to intrinsic abnormality of spinal cord signal intensity. Radiographics 2019; 39:1824-1839.
  • Mohajeri Moghaddam S, Bhatt AA. Location, length, and enhancement: systematic approach to differentiating intramedullary spinal cord lesions.ย Insights Imaging 2018; 9(4): 511-526.

    • ์‚ฌ์ดํŠธ ํ”ผ๋“œ๋ฐฑ

    ์—ฌ๋Ÿฌ๋ถ„์˜ ํ”ผ๋“œ๋ฐฑ์€ CaseStacks ๊ฐœ์„ ์— ๋„์›€์ด ๋ฉ๋‹ˆ๋‹ค. ์˜๊ฒฌ, ์ œ์•ˆ ๋˜๋Š” ๋ฐœ์ƒํ•œ ๋ฌธ์ œ๋ฅผ ๊ณต์œ ํ•ด ์ฃผ์„ธ์š”.

    /5
    ํ”ผ๋“œ๋ฐฑ์„ ๋ณด๋‚ด์ฃผ์…”์„œ ๊ฐ์‚ฌํ•ฉ๋‹ˆ๋‹ค. ์†Œ์ค‘ํžˆ ๋ฐ˜์˜ํ•˜๊ฒ ์Šต๋‹ˆ๋‹ค.